Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adrienne Disisto, PA-C

Individual provider Physician Assistant · NPI 1104190206

Adrienne Disisto, PA-C is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

764 Greenwood Ave NE
Atlanta, GA 30306-3721
Phone: (917) 326-0670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006379 (GA)

Record details

NPI number1104190206
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESMarch 7, 2012

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